Active NPI
Lori Ann Kurtz, LPC, LPB, LADC
- Professional Counselor
- Miami, OK
National Provider Identifier
1861645020
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- 2718
- Practice address
- 130 A St NE
Suite 110
Miami, OK 74354-6332 - Phone
- (918) 533-0308
- Fax
- (918) 542-8815
- NPI assigned
- Oct 31, 2008
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Counselor | 101Y00000X | 0141 | OK | |
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | 333 | OK | |
| Professional Counselor | 101YP2500X | 2718 | OK | Primary |
Addresses
Primary practice location
130 A St NE
Suite 110
Miami, OK 74354-6332
Mailing address
1219 Sky LN
Miami, OK 74354-3841
Phone (918) 533-0308
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 0141 | OK | MD | Counselor |
| 2718 | OK | MD | Professional Counselor |
| 333 | OK | MD | Marriage & Family Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1225411200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1225411200000",
"number": "1861645020",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1219 SKY LN",
"city": "MIAMI",
"state": "OK",
"postal_code": "743543841",
"telephone_number": "918-533-0308",
"fax_number": "918-542-8815"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "130 A ST NE",
"address_2": "SUITE 110",
"city": "MIAMI",
"state": "OK",
"postal_code": "743546332",
"telephone_number": "918-533-0308",
"fax_number": "918-542-8815"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KURTZ",
"first_name": "LORI",
"middle_name": "ANN",
"credential": "LPC, LPB, LADC",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2008-10-31",
"last_updated": "2008-10-31",
"status": "A"
},
"taxonomies": [
{
"code": "101Y00000X",
"taxonomy_group": "",
"desc": "Counselor",
"state": "OK",
"license": "0141",
"primary": false
},
{
"code": "101YA0400X",
"taxonomy_group": "",
"desc": "Counselor, Addiction (Substance Use Disorder)",
"state": "OK",
"license": "333",
"primary": false
},
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "OK",
"license": "2718",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Miami, OK
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 31, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.